Details

Location

Contractor:

Person in charge of the site:

BRS Staff on-site:

Job Ref:

Inspected By:

Date/Time:

PERSONNEL ON SITE:

Is the correct PPE being used where required by task?
(i.e. hard hat, safety vest, safety boots, gloves, ear plugs/muffs, dust mask, safety glasses, long-long compliance, respirator, face guards, guards evident on machines)

GENERAL SITE:

Are hazards identified, recorded, and addressed on the Job Start?

Have all staff & visitors signed the Job Start?

Are work instructions on site for work being undertaken?

Have all underground services been located?

Are current Utility Plans on site?

Is the Excavation Permit accurate, complete, current and on site?

Are all property agreements and conditions current and onsite?

Have plant checks on the Drill Rig and Excavators been done in the last week?

Is the Drill Rig earthed correctly?

If working at height, are all height safety requirements being met?

Is the work site clean and free of clutter?

Are tools and equipment being stored safely?

Is waste material (rubbish) taken away and stored correctly?

Has MBIE (OSH) been notified if the trench is >1.5m deep?

Are all fuels and chemicals safely and securely stored?

Are the Material Safety Data Sheets on site for all fuels and chemicals?

ENVIRONMENTAL WORK PRACTICES

If working near trees, are the correct procedures being followed?

Is damage to grass areas and vegetation being minimised?

Are any leaks, spills or discharges from the Site being controlled?

Have the sediment & erosion control measures been installed in accordance with erosion and sediment control guidelines?

PLANT/EQUIPMENT:

Are all WOF/COF/Rego/RUC current?

Do all Driver/Operators of plant have the correct Licences & endorsements?

Is tie down equipment secure & in good condition?

Are Mobile Plant Operators wearing seat belts?

PUBLIC SAFETY:

Are Barriers and Fences being used correctly?
(e.g. All open holes fully fenced as per guidelines)

Are all Barriers and Fences in good condition?
(e.g. all mesh secure, no holes)

Is the Drill fully fenced with a 1m clearance?

Are temporary walkways/paths in place for pedestrians and cyclists?

TRAFFIC CONTROL

Is a TMP required and in place?

Has the site been set out in accordance with authorised TMP?

Are the approved TMP drawings onsite?

Is there an accredited STMS responsible for the site?

Has a traffic control checklist/audit been completed and recorded on the Job Start?

Is there an escape route for the Traffic Controller?

EMERGENCY EQUIPMENT:

Is there a suitable 1st Aid Kit present on site?

Are Fire Extinguishers present and easily accessible?

Is the site able to call for emergency assistance – Fire, Police, Ambulance?

Is there a suitable Spill Kit on site?

ELECTRICAL EQUIPMENT:

Have all electrical tools and leads been checked and tagged in the last 6 months?

Is RCD protection being used where required?

OTHER:

OTHER:

Corrective Actions:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.